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HomeMy WebLinkAbout0090 FOX DEN BLUFF ROAD - Health 90 Fox Den Bluff ROM Cotuit �- A= 041-035 i 1 e TOWN OF BARNSTABLE LOCATION eo-t It? OtA Q1v-JCF SEWAGE # 77--�33 VILLAGE � "`�'}' ASSESSOR'S MAP & LOT 0.6 INSTALLER'S NAME&PHONE NO. A o-yta SEPTIC TANK CAPACITY LEACHING FACILITY: (type) S F D` (size) a X NO.OF BEDROOMS BUILDER OR OWNER �TClsOe PERMITDATE: i 41 - !I COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 12.7' - oco 3z 5� � o � { No. " � � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MA SACHUSETTS 2pplication for ioogar *rain ion%truction Vermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. yp" - Owner's Name,Address and Tel.No. 41 ZO—O Q'7 D jT�am�s vtt TWo,rnV`� Assessor's Map/Parcel 7N/9,V1e'c✓6 LA) �� 3S r"/2 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1I q It -5 9s . �ss��ttA`rC=� 5 U w' iy V 7.; to Type of Building: Dwelling No.of Bedrooms _ Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow AA,ib gallons per day. Calculated daily flow SS(%ri gallons. Plan Date 5 K. `cam- lj.�b Number of sheets Z Revision Date Title J=ays, K 01", Size of Septic Tank i� Type of S.A.S. ``t®y.1�, Description of Soil C i' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued s Bo d of Health. J Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued TOWN OF BARNSTABLE LOCATIONO � 9e) JNA 12(2-FF SEWAGE # VII.LAGE�G��'w: + ASSESSOR'S MAP& LOT_r I d INSTALLER'S NAME&PHONE NO. O SEPTIC TANK CAPACITY /Se d 6 LEACHING.FACILITY: (type) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 1 -1 4I �COMPLIANCE DATE:_ Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Watei Supply Well and Leaching Facility (If any wells exist on site or:within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 306 feet of leaching facility) Feet Furnished.by. . .TV �p '1FIS .L < r'r• �sA W __ 1. �K No. "' Fee 200"__-Ua THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes >. PUBLIC HEALTH DIVISION - TOWN Of BARNSTABLES MA SACHUSETTS =� 2pprication for igogar *potem Con!5truction 3permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. yp' k FF > , Owner's Name,Address and Tel.No. (� D 1 �74 cam Ns ru.Tworn t;`( Assessor'sMap/Parcel �• rJ� -M19:%vKr✓L GN Installer's/Name,Address,and Tel.No. Designer's Name,Address.and Tel.No. S��(a' _Ybh� R 17 s,a /tb c1�$ Js 4 /S v tda �, � �s7t /J,/`// �• � oZs� e Type of Building: i Dwelling No.of Bedrooms Lot Size isq. ft. ` Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow AAA gallons per day. Calculated daily flow S-S(V gallons. Plan .Date sr g7r_- %t) , Number of sheets Z Revision Date Title S%yl�Tdatu Size of Septic Tank j T- Type of-S.A.S. 't!�j,r-. Description of Soil .. S Y Nature of Repairs or Alterations(Answer when applicable) t Date last inspected: Agreement: { The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system r in Accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued 's B�dof He th. ' Signed 1 ate Apphcation,Appi•ove Date"by .- : ' f r`Ik � . '`� Application-Disapproved for the following reasons Permit No. '` � Date Issued �? THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(v)Repaired( )Upgraded( ) :r Abandoned )by at 1- C 7 f1 I ` has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Uo N u A• A L 7b Designer ST PNEN .T Qo j l t-v' ? &S0ci14'r�S The issuance of this permit shall not be construed as a guarantee that the system will function as-de'signed. Date (n ,�A `1 Inspector r 'No. L, ti`�1 —_—_----_--_—.--�-----------------FeeZ& 15475 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Dioozar 6raem Con!5truction Permit Permission is hereby granted to Construct( // Repair( )Upgrade( )Abandon( ) System located at 90 Fox D&tj CRLuFF R0 jar j/!Z' and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her,duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by /y � 60 Fee---�`r------- -- - 7 BOARD OF HEALTH TOWN OF BARNSTABLE 0q 1 /03s AppCuat ion_1brVe[[ Cootrurt ion Permit Application is hereby made for a permit to Construct ( , Alter�®r epair ( )an individual Well at: o ,oX D e-_1 i3 I F />' n•«t STo M r��r �__ � � ----------- -- -------------------------------------- Location Address Assessors Map and Parcels / /�P�V �j -�A� /, ✓l'tGrSrowS M�IIS —` — —Owner — ---- --— —�— ---------- ----------- — —=—Address — � --- f-r✓�/( ��t_ �� - - -�`'�'�` = use -� n.�li o a6f�f ———---- - ----------------- - Installer — Driller Address Type of Building Dwelling------------------------------------------------------------------ Other - Type of Building -------------------- No. of Persons----------------------------------—---------------- Typeof Well-Y I p'),(—----------------------------------------- Capacity ----------------------------------- Purpose of Well---- ---------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Comp)fiance has been issued by the Board of Health. �.l.�t k,a �z - y� Signed ------�------------------------------------- ---------�------�-�-------- date Application Approved By --------------------------- ---- --- - --------------- date Application Disapproved for the following reasons:-------------------------------------------------------------------------_---___-_- - -------------------------------------------------- \ date PermitNo. � -------------- Issued-------------------------------------—-------------—---------------------- date a ;i>& , t No.� -- �= L� Fee-- e - .� `��' BOARD OF HEALTH TO[apermit N OF - BARN/tTABLE ip ion-*rVell Cort5trurtio�t rriApplication is hereby made for to Construct ( �, Alter ( ), or epair )an'individual Well'at: ° f-_k Dew /�Iu,FFrU��sTow f�/l^ t3 r— -- — — — — — —— '— — — ---- PLocation — Ad Assessors Ma and'Parcel ------- -- - - Owner Address _cv� // �/( Q1t - - — Installer — Driller Address Type of Building Dwellin ------— ii � if Other - Type of Building - -- -------------- No. of Persons -- - -------------- Type of Well- (- ----- Purpose of Well----- 1_i i�__C 'la, Agreement: i The undersigned agrees.to install the afore' described individual.well in accordance with the provisions ohe f Town of Barnstable Board of Health Private Well Protection..Regulation —The undersigned further.;agrees 00tto place the well in operation uritil,a Certificate .of-Comp iance'has been issued by the,Boa d'of Health: q Signed •date �. Application Approved�y - -- _ ----'� date Application.Disapproved-for the following reasons,-- ------------------- --------- ---------------- -------------------------------- __ - .. date:.. r Permit No. --=-1N—; =_ i` ---- __-- "issued - . s ------ ---------- ° date ..w{a'.sc. ...-,�+.-.nw.aYaF�z:.s.x„�.fv.s: :.L::..+: -..x� ...++ffi'eu�• a.....w'...L� +;_ ''rvi#:� '+ V � �..i.� .; / a S � ���_.. S'e p l'� I 0r Q —._, ._�bx D � � � c� F� R� , I__�.___---- _ _ --_______ . BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( "'), Altered ( ), or Repaired ( ) by -------------------------------------------------- - - ------- -- Ic taller / a t !� r l s- �_- /�n�L_Q •v /lJ l .l/=f --1�s lr��SZo ca S S------- -` --------- ------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.� MJ-1 --Dated---------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- -----_-- - - ------ -- Inspector----------------------------------------------— - ------------ BOARD OF HEALTH TO�=WN O.F BARNSTABLE Certifttate Of C6MPItance THIS IS TO CERTIFY, That the Individual Well Constructed O, Altered_( ), or:Repaired'( I" taller e /O PN (.4f /T� F . at- --- - yT has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private:Well Protection, Regulation as described in the application for Well Construction Permit No.W17--J-L�--Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- ------- — - -------_ Inspector---------------------------------------------------------------=-------- - BOARD OF HEALTH TOWN OP' BARNSTA.BLE 1z, Ivell Con5truct Lori]permit y Fee No. ". Permission is hereby granted-- — ---- --- -----------------------------------' to Construct ( �, Alter ( ), or Repair ( ),an*Individual Well,at:. --------- - -- -- --- ----- -- .-- -- 4 Street as shown on the application for.a Well Construction Permit No. ;° ---- --- -- - - Dated--—---------------------------------------------------------------------------- r. R� Board of Health DATE---__— ----— --q=- -- , ry ' 0Ury ENVIROTECH LABORATORIES, INC. 3 _ MA Cert. No.: M-MA 063 449 Rte.130 ---- Sandwich, MA 02563 --- (508) 888-6460 1800-339-6460 FAX(508) 888-6446 CLIENT: Tom Twomey LOCATION: 90 Fox Dew Bluff Rd. ADDRESS: 72 Thankfull Ln. Marstons Mills MA Cotuit MA 02635-2661 COLLECTED BY: D. Pennini/DA Scannell SAMPLE DATE: 9-3-97 SAMPLE TIME: 12:00 WATER SAMPLE TYPE: New Well/ Irrigation DATE RECEIVED: 9-4-97 LAB I.D.#: 979-089 WELL SPECS.: 43' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Limits Coliform bacteria /100ml 0 0 9222 B p P H H units 6.5-8.5 5.59 4500 H+ Conductance umhos/cm 500 100 120.1 Sodium mg/L 28.0 8.8 200.7 Nitrate-N/Nitrite-N mg/L 10.0 < 0.04 4500-NO3 E Iron mdii- 0.3 < 0.02 200.7 Manganese mg/L 0.05 0.012 200.7 COMMENTS: Low pH indicates high corrosive characteristics. YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date Ronald J. aari LaboratoryVIDIrector <=less than >=greater than - TNTC=too numerous to count , • - ' ,gib T •�3 i� r7��{ �' '�a`:'-�..... �� �` � 4•.-� •��n .. 1 c- -_ .J '" ���r. �-ax 'moo M • •\\',, a�_ .Z `!� -J � .', ." a ..�, oo{.��1 �f 'y�. '!• • , „\ � ,`_�t1 � 1 i..�` :��^�?;,,_�� c..' Opp / 5„'�/ ,..1. ; {_ , .• �;r : _ ills ,1 \1 c, tr\t I t-i �/M I Lovet d \o {+4` ) u y,d,• S \' s8 i 255.95 Pon h71 IC • b-m ( ( 9 f .. •"� �°�a ` 1°� J ti', , icy \�' ; . / 61,181 sq.ft. �. ':\Sc7 ` ` ; `-,' .� - �,�� ', � •_ 1 w / 1.4 acres W i- ll•� Tpk*'� �o eaa ..��\ ,' J' �.,,.�+ �Y�G Oo�,.� ` )e�0, ��., (�\,�Q .\ r \ o 0 � � t pi )o ; t, err USGS LOCUS SCALE 1 : 25.000 sit• � Al' , >7. s / A-} ISOLATED ) La / t A. 10. AO / WETLAND � O��' 6). ,'cL OSF i p Z PROPOSED `SO N 10' x 18, / �o DECK BM: RIM = EL. 45.0 / 1 DATUM: NGVD `.4�5`.Z�o �O 6 - i �p'� 7?. GRAPHIC SCALE Ar 40 0 20 40 80 150 � 7 IN FEET ) 1 inch 40 ft. ZONING DISTRICT: RF ��` ��44,8Z / `N Of 414 ZN OFF, 4 Ss*� ��� OVERLAY DISTRICT: GP & WP �; �� ° �qg' a'� AM MPH � EN � "ASSESSORS MAP: 41-35 �\ O,90 � HYD. o Il1E8ER�RA!! � � J. w k 110. 23971Q y DOYLE FEMA DATA: LOCUS DOES NOT LIE IN �� q1•U �9FG�SS�P41wQ N0.37559 A FLOOD HAZARD ZONE. MUNICIPAL WATER IS AVAILABLE STREET ADDRESS: #90 FOX DEN BLUFF.ROAD REFERENCE PLAN: LC.#39660-B SHEET 1 OF 2 I SITE PLAN OF LAND IN COTUIT - BARNSTABLE, MASS. DEPICTING THE PROPOSED TWOM EY R ES; 1 C) EN COD E SCALE: 1" = 40' DATE: C1=-r io.. 1996 _ STEPHEN J. DOYLE AND ASSOCIATES 42 CANTERBURY LANE EAST FALMOUTH, MA 02536 TELEPHONE: 508/540-2534 GENERAL CONSTRUCTION NOTES 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE ;TOWN ,OF 'LZNI RULES AND REGULATIONS FOR - PROFILE OF SEWAGE DISPOSAL SYSTEM THE SUBSURFACE DISPOSAL OF SEWAGE. 2. AT LEAST ONE ACCESS 'PORT OVER TANK TEES SHALL BE ACCESSIBLE NOT TO SCALE WHITHIN SIX INCHES OF FINISH GRADE WITH ANY REMAINING ACCESS PORTS BROUGHT TO WITHIN TWELVE INCHES OF FINISH GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H--10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' TOP FOUND. EL - , ` OF DRIVES OR PARKING. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING UNLESS NOTED. 4. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL SITE UTILITIES PRIOR TO ANY EXCAVATION. 5. SEWER PIPES SHALL BE 4" SCHEDULE 40 PVC LAID AT 0.02 SLOPE. 6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. INV. EL. FLOW LINE _�..... WAS nd+T COVER =` ---- - 7. FINISH GRADE .SHALL HAVE A MINIMUM SLOPE OF 0.02 FEET PER FOOT. 10' MIN, INV. EL. 40.'`1 �`2' LEVEL'—� 10' MIN. 4' UO(M DEPTH MIN. 6' INV. El. '1l°'t.o sump ..._.... .....................k.'.ems-. su. Lxa...�.:., ------------- _. _-� , �. _ INV. EL .�Q f I INV. EL. --- 2"MIN. — 1/8 TO 1/2" WASHED STONE 1500 GALLON PRECAST REINFORCED CONCRETE SEPTIC TANK 4' x 8' PRECAST FLOW DIFFUSOR 4a.o MINIMUM CONSTRUCTION MATERIALS PER 310CMR 15.226(2) PRECAST REINFORCED CONCRETE- DISTRIBUTION BOX a TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE THE FLOW LINE INSTALL ON A LEVEL BASE L OF THE SEPTIC TANK AND BE ON THE CENTERLINE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN—OUT MINIMUM WALL THICKNESS = 2" 4 3/4" 1 1/2" WASHED STONE (2' MAX. DEPTH)MANHOLE , MINIMUM INSIDE DIMENSION = 12" W4,=��3 ,t ,� 4L,0 THE INLET PIPE ELEVATION SHALL BE NO LESS 'THAN 2" NOR INV. EL. AS.o , MORE THAN 3" ABOVE THE INVERT ELEVATION OF THE OUTLET INVERTS SHALL BE EQUAL TO EACH I z OUTLET PIPE. OTHER AND AT 2" MINIMUM BELOW INLET INVERT. SEPTIC TANK THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX SHALL BE INSTALLED LEVEL AND TRUE TO 'GRADE SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING S.A.S. _ _LONG x 1Z EFF. DEPTH WIDE x Z S ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY THE DISTRIBUTION BOX TO THE HEIGHT OF THE DISTRIBUTION i���r Mtu.x�. COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE LINE INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. SEE PLAN VIEW FOR DIFFUSOR LAYOUT HAS BEEN PLACED TO ENSURE STABILITY AND TO PREVENT { SETTLING. INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE AND NON—DEFORMABLE MATERIAL PERMANENTLY FASTEND TO THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9". LINE OR RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF EQUAL ELEVATION. _ Y THREE 20 MANHOLES WITH READILY REMOVABLE IMPERMEABLE 4t.o COVERS OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS PORTS BEING PLACED AT THE CENTER AND OVER THE INLET AND D � OUTLET TEES. THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE. SOIL OBSERVATION DATA: DESIGN DATA: GlSTER O °L�'�.�4 �AT�C.. ,"�"�aL."r. G=x?�aTt�'al�.� 1 � tl~�c 1r t� TL1aU -tit' STRUCTURE g�' ST'EPHEN TEST DATE -I- \ — g`i TYPE NO. BEDROOMS GARBAGE DISPOSAL ..� J. ., Y'l1I re $ DOYLE SOIL EVALUATOR f ,�G�a tW� �t�: DESIGN FLOW Cet)t L,+ = CA ALLos "L t NO.37559 B.O.H. AGENTeata��e�. t j0'fbfESS10�� 11Zt-tz+.�4-k44 x7-ftizx4A=- '1SZ{o:`S4� S,r'(�, c!�'p lgNn s TO EXCAVATOR , PERC ATE � SEPTIC TANK q-gt� � - \;Co SHEET 2 OF 2 LEACHING FACILITY L1S { E"Z i�CFit��` 't>6F r'Z1 Utz S. y1t'�11 BEE . _ Z4 SCALE: AS SHOWN DATE: tYC 'rtt2 totlgglea ' C�u.n►+wG.- STEPHEN J. DOYLE AND ASSOCIATES _. 42 CANTERBURY LANE, FALMOUTH MA. 02536 TELEPHONE: 508/540-2534